Download the NANDA nursing diagnosis list 2018-2020 in PDF format. Please note that NANDA-I doesn t advise on using NANDA Nursing Diagnosis labels without taking the nursing diagnosis in holistic approach. NANDA-I explained this in their website as follow: There is no real use for simply providing a list of terms to do so defeats the purpose of a standardized language. Unless the definition, defining characteristics, related and / or risk factors are known, the label itself is meaningless. Therefore, we do not believe it is in the interest of patient safety to produce simple lists of terms that could be misunderstood or used inappropriately in a clinical context. Definition of a Nursing Diagnosis A nursing diagnosis is defined by NANDA International (2013) as a clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response, by an individual, family, group, or community. New NANDA Nursing Diagnoses In this edition of NANDA nursing diagnosis list (2018-2020), seventeen new nursing diagnoses were approved and introduced. These new approved nursing diagnoses are: Readiness for enhanced health literacy Ineffective adolescent eating dynamics Ineffective child eating dynamics Ineffective infant eating dynamics Risk for metabolic imbalance syndrome Imbalanced energy field Risk for unstable blood pressure
Risk for complicated immigration transition Neonatal abstinence syndrome Acute substance withdrawal syndrome Risk for acute substance withdrawal syndrome Risk for surgical site infection Risk for dry mouth Risk for venous thromboembolism Risk for female genital mutilation Risk for occupational injury Risk for ineffective thermoregulation Retired NANDA Nursing Diagnoses In this latest edition of NANDA nursing diagnosis list (2018-2020), eight nursing diagnoses were removed from compared to the old nursing diagnosis list (2015-2017). These nursing diagnoses are : Risk for disproportionate growth Noncompliance (Nursing Care Plan) Readiness for enhanced fluid balance Readiness for enhanced urinary elimination Risk for impaired cardiovascular function Risk for ineffective gastrointestinal perfusion Risk for ineffective renal perfusion Risk for imbalanced body temperature Approved NANDA Nursing Diagnosis List NANDA Nursing Diagnosis Domain 1. Health promotion
Class 1. Health awareness Decreased diversional activity engagement (Nursing Care Plan) Readiness for enhanced health literacy Sedentary lifestyle (Nursing care Plan) Class 2. Health management Frail elderly syndrome (Nursing care Plan) Risk for frail elderly syndrome Deficient community health Risk-prone health behaviour Ineffective health maintenance (Nursing care Plan) Ineffective health management Readiness for enhanced health management Ineffective family health management Ineffective protection NANDA Nursing Diagnosis Domain 2. Nutrition Class 1. Ingestion Imbalanced nutrition: less than body requirements (Nursing care Plan) Readiness for enhanced nutrition
Insufficient breast milk production Ineffective breastfeeding (Nursing care Plan) Interrupted breastfeeding (Nursing care Plan) Readiness for enhanced breastfeeding Ineffective adolescent eating dynamics Ineffective child eating dynamics Ineffective infant feeding dynamics Ineffective infant feeding pattern (Nursing care Plan) Obesity Overweight Risk for overweight Impaired swallowing (Nursing care Plan) Class 2. Digestion This class does not currently contain any diagnoses Class 3. Absorption This class does not currently contain any diagnoses Class 4. Metabolism Risk for unstable blood glucose level (Nursing care Plan) Neonatal hyperbilirubinemia
Risk for neonatal hyperbilirubinemia Risk for impaired liver function Risk for metabolic imbalance syndrome Class 5. Hydration Risk for electrolyte imbalance Risk for imbalanced fluid volume Deficient fluid volume (Nursing care Plan) Risk for deficient fluid volume Excess fluid volume (Nursing care Plan) NANDA Nursing Diagnosis Domain 3. Elimination and exchange Class 1. Urinary function Impaired urinary elimination Functional urinary incontinence Overflow urinary incontinence Reflex urinary incontinence Stress urinary incontinence Urge urinary incontinence Risk for urge urinary incontinence Urinary retention
Class 2. Gastrointestinal function Constipation (Nursing care Plan) Risk for constipation Perceived constipation Chronic functional constipation Risk for chronic functional constipation Diarrhoea Dysfunctional gastrointestinal motility Risk for dysfunctional gastrointestinal motility Bowel incontinence Class 3. Integumentary function This class does not currently contain any diagnoses Class 4. Respiratory function Impaired gas exchange NANDA Nursing Diagnosis Domain 4. Activity/rest Class 1. Sleep/rest Insomnia
Sleep deprivation Readiness for enhanced sleep Disturbed sleep pattern Class 2. Activity/exercise Risk for disuse syndrome Impaired bed mobility Impaired physical mobility Impaired wheelchair mobility Impaired sitting Impaired standing Impaired transfer ability Impaired walking Class 3. Energy balance Imbalanced energy field Fatigue Wandering Class 4. Cardiovascular/pulmonary responses Activity intolerance Risk for activity intolerance
Ineffective breathing pattern Decreased cardiac output Risk for decreased cardiac output Impaired spontaneous ventilation Risk for unstable blood pressure Risk for decreased cardiac tissue perfusion Risk for ineffective cerebral tissue perfusion Ineffective peripheral tissue perfusion Risk for ineffective peripheral tissue perfusion Dysfunctional ventilatory weaning response Class 5. Self-care Impaired home maintenance Bathing self-care deficit Dressing self-care deficit Feeding self-care deficit Toileting self-care deficit Readiness for enhanced self-care Self-neglect NANDA Nursing Diagnosis Domain 5. Perception/cognition NANDA Nursing Diagnosis Class 1. Attention
Unilateral neglect Class 2. Orientation This class does not currently contain any diagnoses Class 3. Sensation/perception This class does not currently contain any diagnoses Class 4. Cognition Acute confusion Risk for acute confusion Chronic confusion Labile emotional control Ineffective impulse control Deficient knowledge Readiness for enhanced knowledge Impaired memory Class 5. Communication Readiness for enhanced communication Impaired verbal communication
NANDA Nursing Diagnosis Domain 6. Self-perception Class 1. Self-concept Hopelessness Readiness for enhanced hope Risk for compromised human dignity Disturbed personal identity Risk for disturbed personal identity Readiness for enhanced self-concept Class 2. Self-esteem Chronic low self-esteem Risk for chronic low self-esteem Situational low self-esteem Risk for situational low self-esteem Class 3. Body image Disturbed body image NANDA Nursing Diagnosis Domain 7. Role relationship
Class 1. Caregiving roles Caregiver role strain Risk for caregiver role strain Impaired parenting Risk for impaired parenting Readiness for enhanced parenting Class 2. Family relationships Risk for impaired attachment Dysfunctional family processes Interrupted family processes Readiness for enhanced family processes Class 3. Role performance Ineffective relationship Risk for ineffective relationship Readiness for enhanced relationship Parental role conflict Ineffective role performance Impaired social interaction NANDA Nursing Diagnosis Domain 8. Sexuality
Class 1. Sexual identity This class does not currently contain any diagnoses Class 2. Sexual function Sexual dysfunction Ineffective sexuality pattern Class 3. Reproduction Ineffective childbearing process Risk for ineffective childbearing process Readiness for enhanced childbearing process Risk for disturbed maternal-fetal dyad NANDA Nursing Diagnosis Domain 9. Coping/stress tolerance Class 1. Post-trauma responses Risk for complicated immigration transition Post-trauma syndrome Risk for post-trauma syndrome Rape-trauma syndrome
Relocation stress syndrome Risk for relocation stress syndrome Class 2. Coping responses Ineffective activity planning Risk for ineffective activity planning Anxiety (Nursing Care Plan) Defensive coping Ineffective coping Readiness for enhanced coping Ineffective community coping Readiness for enhanced community coping Compromised family coping Disabled family coping Readiness for enhanced family coping Death anxiety Ineffective denial Fear Grieving Complicated grieving Risk for complicated grieving Impaired mood regulation Powerlessness Risk for powerlessness
Readiness for enhanced power Impaired resilience Risk for impaired resilience Readiness for enhanced resilience Chronic sorrow Stress overload Class 3. Neurobehavioral stress Acute substance withdrawal syndrome Risk for acute substance withdrawal syndrome Autonomic dysreflexia Risk for autonomic dysreflexia Decreased intracranial adaptive capacity Neonatal abstinence syndrome Disorganized infant behaviour Risk for disorganized infant behaviour Readiness for enhanced organized infant behavior NANDA Nursing Diagnosis Domain 10. Life principles Class 1. Values This class does not currently contain any diagnoses
Class 2. Beliefs Readiness for enhanced spiritual well-being Class 3. Value/belief/action congruence Readiness for enhanced decision-making Decisional conflict Impaired emancipated decision-making Risk for impaired emancipated decision-making Readiness for enhanced emancipated decision-making Moral distress Impaired religiosity Risk for impaired religiosity Readiness for enhanced religiosity Spiritual distress Risk for spiritual distress NANDA Nursing Diagnosis Domain 11. Safety/protection Class 1. Infection Risk for infection Risk for surgical site infection
Class 2. Physical injury Ineffective airway clearance Risk for aspiration Risk for bleeding (Nursing Care plan) Impaired dentition Risk for dry eye Risk for dry mouth Risk for falls Risk for corneal injury Risk for injury Risk for urinary tract injury Risk for perioperative positioning injury Risk for thermal injury Impaired oral mucous membrane integrity Risk for impaired oral mucous membrane integrity Risk for peripheral neurovascular dysfunction Risk for physical trauma Risk for vascular trauma Risk for pressure ulcer Risk for shock Impaired skin integrity (Nursing Care Plan) Risk for impaired skin integrity Risk for sudden infant death Risk for suffocation
Delayed surgical recovery Risk for delayed surgical recovery Impaired tissue integrity Risk for impaired tissue integrity Risk for venous thromboembolism Class 3. Violence Risk for female genital mutilation Risk for other-directed violence Risk for self-directed violence Self-mutilation Risk for self-mutilation Risk for suicide Class 4. Environmental hazards Contamination Risk for contamination Risk for occupational injury Risk for poisoning Class 5. Defensive processes Risk for adverse reaction to iodinated contrast media
Risk for allergy reaction Latex allergy reaction Risk for latex allergy reaction Class 6.Thermoregulation Hyperthermia Hypothermia Risk for hypothermia Risk for perioperative hypothermia Ineffective thermoregulation Risk for ineffective thermoregulation NANDA Nursing Diagnosis Domain 12. Comfort Class 1. Physical comfort Impaired comfort Readiness for enhanced comfort Nausea Acute pain Chronic pain Chronic pain syndrome Labor pain
Class 2. Environmental comfort Impaired comfort Readiness for enhanced comfort Class 3. Social comfort Impaired comfort Readiness for enhanced comfort Risk for loneliness Social isolation NANDA Nursing Diagnosis Domain 13. Growth/development Class 1. Growth This class does not currently contain any diagnoses Class 2. Development Risk for delayed development